Individual provider Active NPI

Ciara Nicole Branch, FNP

  • Family Nurse Practitioner
  • Lumberton, NC
National Provider Identifier
1770059941
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
216945 Issued in NC
Practice address
4901 Dawn Dr Ste 3100
Lumberton, NC 28360-0007
Phone
(910) 671-8556
Fax
(910) 671-4850
NPI assigned
Oct 15, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 216945 NC Primary

Addresses

Primary practice location

4901 Dawn Dr Ste 3100
Lumberton, NC 28360-0007

Mailing address

2002 N Cedar St Ste B
Lumberton, NC 28358-3926
Phone (910) 272-3048

Other practice location 1

4001 Coliseum Dr Ste 310A
Hampton, VA 23666-6257
Phone (757) 736-2540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190124001601 NC Practitioner - Nurse Practitioner 6901143205 Reassigns benefits to 1 organization
I20241016002619 VA Practitioner - Nurse Practitioner 6901143205 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians

Practice addresses (Care Compare)

4001 Coliseum Dr
Suite 310a
Hampton, VA 23666-6257
Phone (757) 736-2540

Hospital & facility affiliations

  • Sentara Norfolk General Hospital Hospital, Norfolk, VA, CCN 490007
  • Sentara Leigh Hospital Hospital, Norfolk, VA, CCN 490046
  • Sentara Careplex Hospital Hospital, Hampton, VA, CCN 490093

Merit-based Incentive Payment System (MIPS)

Final score
95.78 of 100Reported as group
Quality
81.28
Promoting interoperability
100
Improvement activities
40
Cost
80.81

Merit-based Incentive Payment System (MIPS)

Final score
96.84 of 100Reported as apm
Quality
89.55
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sentara Medical Group CurrentSince Sep 1, 2024 Accepting new patients
Southeastern Regional Physician Services CurrentSince Nov 27, 2018 Accepting new patients
Southeastern Regional Physician Services CurrentSince Nov 27, 2018 Accepting new patients
Southeastern Regional Physician Services Current Accepting new patients

Locations

1249 Chicken Foot Rd
Hope Mills, NC 28348
Phone (910) 423-1278

4901 Dawn Dr
Ste 3100
Lumberton, NC 28360
Phone (910) 671-8556

2002 N Cedar St
#B
Lumberton, NC 28358
Phone (910) 272-3048

500 W 27th St
Lumberton, NC 28358
Phone (910) 618-0441

395 W 27th St
Lumberton, NC 28358
Phone (910) 738-3434

4001 Coliseum Dr
Ste 310A
Hampton, VA 23666
Phone (757) 431-7771

824 N Military Hwy
Ste 100
Norfolk, VA 23502
Phone (888) 236-2263

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1539561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1770059941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 N CEDAR ST STE B",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283583926",
            "telephone_number": "910-272-3048",
            "fax_number": "910-738-3764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 DAWN DR STE 3100",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283600007",
            "telephone_number": "910-671-8556",
            "fax_number": "910-671-4850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4001 Coliseum Dr Ste 310A",
            "address_purpose": "LOCATION",
            "city": "Hampton",
            "state": "VA",
            "postal_code": "236666257",
            "country_code": "US",
            "telephone_number": "757-736-2540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRANCH",
        "first_name": "CIARA",
        "middle_name": "NICOLE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-15",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "216945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lumberton, NC

Sources for this page

Verify at the official NPI Registry.